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1. What is your gender?
 
Female
 
Male
 
 
 
2. What is your age?
 
Below 18
 
18 to 24
 
25 to 34
 
35 to 44
 
45 to 54
 
55 or older
 
 
 
3. Are you a parent/guardian?
 
Yes
 
No
 
 
 
4. Do you play any sort of games (e.g. gaming consoles, mobile phones, computers, etc.), if yes, roughly how many hours have you spent playing video games in the past 7 days?
 
None
 
1 to 3 hours
 
4 to 6 hours
 
7 to 9 hours
 
10 hours or more
 
 
 
5. (If you answered with anything but "None" in question '4' answer this, if otherwise, proceed to the next question) When interacting with a game, do you generally feel:
 
Happy
 
Excited
 
Angry
 
Relaxed
 
 
 
6. Do you think playing video games disconnects the individual from society?
 
Yes
 
No
 
 
 
7. Would you prefer to spend time playing a game on a weekend night or go out with your family/friends?
 
Play a game
 
Go out
 
 
 
8. Does spending too much time playing games have an impact on grades/work effort?
 
Yes
 
No
 
 
 
How often do you conduct surveys?
 
Negative
 
Positive
 
Both
 
 
 
10. Have you/or anyone you know ever delayed any household tasks/chores (e.g. Cleaning the dishes, vacuuming etc.) due to playing games?
 
Yes
 
No
 
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